作者:Marcel Riehle
关键词:schizophrenia; psychosis;negative symptoms; treatment; psychotherapy
发表时间:2017
发表期刊:Verhaltenstherapie
证据类型:系统评价/Meta分析
Negative symptoms are among the best predictors of low levels of functioning in people with schizophrenia. Even though therapeutic interventions for negative symptoms are clearly needed, service providers often view negative symptoms as untreatable. In this article, we challenge this view by reviewing the existing efficacy studies of psycho-logical interventions for negative symptoms. We conducted a systematic literature search and identified 36 studies that explicitly evaluated psychological interventions for negative symptoms in schizophrenia spectrum disorders. The overall pattern of findings was as follows: The effect on the motiva-tional components of negative symptoms was largest in studies employing cognitive behavior therapy and/or social skills trainings. The effect on the expressive components of negative symptoms (i.e. blunted affect) was largest in stud-ies using nonverbal interventions such as body-oriented psychotherapy. Cognitive remediation also had a beneficial effect on negative symptoms. However, this effect was largely unrelated to improvements in cognitive ability. De-spite a dearth of methodologically sound treatment studies in the field, we could show that there are several viable therapeutic approaches to negative symptoms. Our litera-ture overview can be used as a guide in planning treat-ments for people with negative symptoms